Provider Demographics
NPI:1821427642
Name:PARADISE ADULT DAY CARE, INC
Entity Type:Organization
Organization Name:PARADISE ADULT DAY CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-715-6657
Mailing Address - Street 1:50 LINDSAY CT
Mailing Address - Street 2:SUITE 101-106
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-5224
Mailing Address - Country:US
Mailing Address - Phone:786-900-0090
Mailing Address - Fax:786-900-0094
Practice Address - Street 1:50 LINDSAY CT
Practice Address - Street 2:SUITE 101-106
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-5224
Practice Address - Country:US
Practice Address - Phone:786-900-0090
Practice Address - Fax:786-900-0094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-02
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9262261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL9262OtherSTATE LISCENCE